Provider Demographics
NPI:1881736361
Name:KRUGER, KATARZYNA LIGENDZA (DC)
Entity type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:LIGENDZA
Last Name:KRUGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5413 WHITTAKER RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48197
Mailing Address - Country:US
Mailing Address - Phone:734-961-9977
Mailing Address - Fax:734-961-0505
Practice Address - Street 1:5413 WHITTAKER RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9751
Practice Address - Country:US
Practice Address - Phone:734-961-9977
Practice Address - Fax:734-961-0505
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008449111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ON36570Medicare ID - Type Unspecified
U87004Medicare UPIN